Organization
CLINICA TERAPEUTICA JERINGONZA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMANDA MORALES RIVERA (SPEECH PATHOLOGIST)
(787) 568-9915
Entity
Organization
Contact information
Practice address
135 AVE MUNOZ RIVERA E STE 2, CAMUY, PR 00627-2630
(787) 568-9915
Mailing address
HC 3 BOX 12003, CAMUY, PR 00627-9754
(787) 568-9915
(787) 998-0735
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1056
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
IX723A
PTAN
PR
Enumeration date
07/06/2018
Last updated
07/06/2018
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